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Examining early inhibitory control and emotion regulation as predictors of childhood internalizing and externalizing problems: A longitudinal study
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Psychology. Uppsala University, WoMHeR (Centre for Women's Mental Health during the Reproductive Lifespan).ORCID iD: 0000-0001-5893-4058
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Child and Adolescent Psychiatry. Department of Psychology Stockholm University Stockholm Sweden.ORCID iD: 0000-0002-1307-4928
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Psychology. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Experimental Cognitive and Affective Neuroscience (ECAN).ORCID iD: 0000-0003-2516-9075
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Psychology. Uppsala University, WoMHeR (Centre for Women's Mental Health during the Reproductive Lifespan).ORCID iD: 0009-0009-5636-2055
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2026 (English)In: JCPP Advances, E-ISSN 2692-9384, article id e70093Article in journal (Refereed) Epub ahead of print
Abstract [en]

Background

Identifying predictors and mechanisms in the development of childhood internalizing (INT) and externalizing (EXT) problems is crucial for early intervention. Inhibitory control has been linked to INT and EXT, with emotion regulation (ER) potentially mediating these associations. However, specific pathways between early inhibitory control, ER, and later INT and EXT remain unclear. Additionally, regulation of distinct emotions (anger, fear, sadness, joy) may play a role.

Methods

The sample included 94 typically developing children from the EFFECT study, a longitudinal project on the development of self-regulation. At age 4, inhibitory control was measured using the Day/Night Stroop Task. At age 6, general ER, as well as regulation of specific emotions (anger, fear, sadness, and joy), were assessed using the Emotion Questionnaire (parent-report). INT and EXT at ages 9–10 were measured using the Strengths and Difficulties Questionnaire (parent-report). Correlational and path analyses were conducted.

Results

No longitudinal associations were found between inhibitory control at 4 years and either INT or EXT at ages 9–10, or with ER at age 6. Consequently, we found no evidence of mediation by ER. General ER at 6 years emerged as a predictor of both INT and EXT at 9–10 years. While not statistically significant, effect sizes linking regulation of some specific emotions (anger, fear) with subsequent INT and EXT problems warrant further research.

Conclusion

The results reflect the complexity of studying longitudinal effects of early inhibitory control. A modest sample size with attrition, and measurement constraints may have attenuated effects and limited generalizability. Meanwhile, our findings highlight ER as a target for intervention across both INT and EXT.

Place, publisher, year, edition, pages
Association for Child and Adolescent Mental Health, 2026. article id e70093
National Category
Psychology (Excluding Applied Psychology)
Identifiers
URN: urn:nbn:se:uu:diva-580189DOI: 10.1002/jcv2.70093ISI: 001655481500001Scopus ID: 2-s2.0-105026914460OAI: oai:DiVA.org:uu-580189DiVA, id: diva2:2040682
Funder
Swedish Research Council, 421‐2012‐1222Available from: 2026-02-22 Created: 2026-02-22 Last updated: 2026-03-18
In thesis
1. Exploring the Self-Regulation Universe: Developmental Dynamics from Early Caregiving to Brain and Behaviour
Open this publication in new window or tab >>Exploring the Self-Regulation Universe: Developmental Dynamics from Early Caregiving to Brain and Behaviour
2026 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Childhood self-regulation, the ability to modulate behaviour, cognition, and emotion in service of adaptive behaviour and higher-order goals, is a robust predictor of important outcomes within childhood and beyond. Despite considerable research interest, the developmental pathways through which self-regulatory abilities emerge, interact, and relate to later outcomes are not fully understood. This thesis examines several of these pathways across three empirical studies, spanning multiple levels of analysis and developmental timepoints, with a focus on executive function (EF) and emotion regulation (ER). Study I investigated whether specific aspects of the early caregiving environment (maternal sensitivity and attachment security) predict self-regulation at age 6, and whether hot and cool EF in toddlerhood mediates these relationships. Contrary to hypotheses, no longitudinal associations were observed, raising important questions about whether the relationship between early caregiving and later self-regulation is more conditional, non-linear, or measurement-dependent than current models suggest. Study II examined whether inhibitory control in toddlerhood predicts internalizing and externalizing problems at age 9–10, and whether ER at age 6 mediates these pathways. No significant associations were found between early inhibitory control and later ER or internalizing or externalizing problems. However, general ER at age 6 predicted lower levels of both internalizing and externalizing problems, highlighting ER as a transdiagnostic, potentially modifiable factor in the development of childhood psychopathology. Study III examined developmental differences in choline concentration in the dorsal anterior cingulate cortex (dACC), a region implicated in error monitoring, action selection, and cognitive control, and its associations with cognitive control performance across children, adolescents, and adults. The association between dACC choline and cognitive control reversed direction across developmental stages (negative in children and positive in adults), suggesting that the neurobiological significance of this metabolite shifts fundamentally with development.Taken together, these findings reflect the conceptual and methodological complexity of studying self-regulation across development. While self-regulation remains a meaningful predictor of socioemotional outcomes, and neurobiological measures may offer meaningful insights into the development of cognitive control, transparent reporting of null findings reporting and continued refinement of theoretical and measurement approaches are necessary for advancing a cumulative science of self-regulation development.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2026. p. 84
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Social Sciences, ISSN 1652-9030 ; 242
National Category
Psychology
Research subject
Psychology
Identifiers
urn:nbn:se:uu:diva-582288 (URN)978-91-513-2776-1 (ISBN)
Public defence
2026-05-08, Room IX, University Main Building, Biskopsgatan 3, Uppsala, 09:15 (English)
Opponent
Supervisors
Available from: 2026-04-16 Created: 2026-03-18 Last updated: 2026-04-16

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Jónsdóttir, Lilja K.Frick, MatildaFrick, AndreasHeeman, EmmaBrocki, Karin

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